AI suggests why the Philadelphia medevac crash happened

Can artificial intelligence (AI) provide the factors behind aviation accidents? Maybe we should find out, because people can suddenly believe they are experts as a result of using it.

A reader contacted me on February 1st with the answer that an AI app provided when he asked it what caused the 31 January fatal Learjet air ambulance crash in Philadelphia.

Before discussing the AI’s verdict, here is what we actually know about the short flight: the Learjet 55 took off in the evening dusk (18:06:10 local time) from Philadelphia Northeast Airport runway 24, bound for Springfield, Missouri, with a stretchered patient and five other people on board. The temperature and dew point were both 9deg, the cloud-base was at 400-500ft, light wind and reasonable visibility.

When airborne the aircraft was told to turn right onto heading 290deg, and the pilot received an instruction from Tower to change frequency to Philadelphia Departure Control. He read the new frequency back correctly, and bid the Tower controller a good day.

According to ADS-B data, the Learjet had climbed rapidly to a maximum 1,650ft by about a minute after take-off (18:06:56) , then the aircraft entered a steep, uninterrupted descent to impact with the ground. The impact point was in a suburban area about 2.5nm from the airport, close to the runway extended centreline. The pilot never did make contact with Departure Control, and broadcast messages addressed to the flight by Departure did not receive a response.

According to initial reports by Philadelphia police, no-one on board survived the Learjet crash, one person on the ground was killed and 19 were injured, That is my summary of the basic known facts of what happened.

Meanwhile my reader who asked AI to provide him with an explanation for the crash told me he had, in his question, given the AI app (which he didn’t name) all the facts known at that point.

The executive summary part of the AI answer said this: “Preliminary data from ADS-B tracking, witness reports, and aviation system analysis suggest that Learjet 55 XA-UCI suffered a catastrophic runaway trim event (nose-down), leading to an unrecoverable dive and high-speed impact.” It also supplied what I would describe as cogent arguments to back this verdict up, but no actual evidence for the alleged runaway trim or the electrical fault that it proposed was the reason for it. The whole proposal, however, was delivered in a decidedly confident style.

I decided to take a different approach to test AI on the same subject. Given what we know happened, I asked Chat GPT whether the pilot suffering spatial disorientation as a result of somatogravic illusion could be the explanation for the Learjet accident? ChatGPT’s response first explained what somatogravic illusion is, then responded that, yes, it could indeed be a plausible explanation, but advised me to wait for the National Transportation Safety Board’s report.

Somatogravic illusion is an illusion generated by the delicate human inner ear balance organs when they are subjected to acceleration, linear or rotational. For example, passengers seated in the cabin of an aircraft beginning its acceleration along the runway for take-off can feel that the whole aircraft has tilted slightly nose-up, especially if they are looking straight ahead. But a glance out of the cabin window during the take-off run will prove that no such upward tilt has taken place.

Pilots experience the same somatogravic effect during take-off that passengers do, but since they are looking ahead out the cockpit windscreen – and providing the external visibility is good – their powerful visual sense will overcome the misleading feedback from their balance sensors.

If, however, the acceleration continues after take-off and the crew lose sight of the outside world because of darkness or entering cloud, the misleading feedback from their balance sensors returns. And the natural reaction to believing the aircraft’s nose is higher than it should be is to push forward on the control column, pushing the nose down. The physical feeling that a nose-down push is demanded can entirely overcome the intellectual information presented by the pilots’ flight instruments, because the latter is artificial, unlike powerful instinctive feelings or sight of a natural external horizon.

The Learjet series has a reputation for sporty performance. Its take-off acceleration and rate of climb when airborne are impressive. And the point in this short flight where it all appears to have gone wrong happens to occur at the moment when the pilot is likely to have taken his eyes off the flight instruments for a moment to change the radio frequency. The latter may be just coincidence, however.

There is no data here that could be regarded as evidence about the reasons for the Philadelphia crash, but I do know that the runaway trim explanation is plausible, and so is the pilot spacial disorientation theory.

There could be other reasons, however, and I know well after 45 years in this business that listing “what if” explanations is a waste of time because there are too many. The truth will out, via actual evidence. These days it does not take long, because investigators now strive to provide periodic interim factual reports which signpost the emerging truth.

But full understanding – and thus the ability confidently to act to prevent repetition – only comes with the full facts.

Atlas Air crash should spark an overdue debate about piloting

Recent releases from the US National Transportation Safety Board’s investigation of the Atlas Air Boeing 767-300F fatal crash in February 2019 contain a vital message to the industry about loss of control in flight (LOC-I).

Unfortunately, the message could be overlooked, or not taken seriously, as it has been many times before.

The Atlas Air crash, however, finally negates a common reason for unconsciously dismissing the seriousness of a LOC-I accident.  This unconscious dismissal, among “Western” observers at least, is caused by the mindset that says: ‘It happened to a non-Western carrier’; the implication being ‘What would you expect?’.

Such pilot reactions to the Lion Air and Ethiopian 737 Max accidents flooded the web, particularly in the USA, and are still out there. The latter two accidents, however, involved an aggravated version of LOC-I, precipitated by a confusing technical distraction.

Right now, in the Atlas Air investigation, the NTSB is testing evidence that suggests pilot disorientation by somatogravic illusion might be pivotal in what happened. During descent toward its destination airport the aircraft finally dived steeply and at high speed into the surface .

A synopsis of the basic accident details can be found on the Aviation Safety Network.

A common example of somatogravic illusion – which is an acceleration-induced illusion – is the feeling that airline passengers get when their aircraft begins to accelerate along the runway; they perceive the cabin to be tilted upward, but a glance out the side window shows the aircraft is level, the nosewheel still on the ground.

Visual input, if available, is the dominant human sensory input, and it will correct the illusions caused by the reaction of the body’s balance organs to a linear acceleration.

The Atlas Air 767 freighter was inbound to Houston Intercontinental airport from Miami, and the flight phase in which things began to go wrong was a routine descent, the crew receiving vectors to avoid weather. As the aircraft was descending, in cloud, through about 10,000ft, cleared to 3,000ft, the crew were flying a vector heading of 270deg, and were told to expect a turn north on a base leg to final approach for runway 26L. All pretty normal.

There was a pilot call for “flaps 1”, the aircraft leveled briefly at 6,200ft, climbed very slightly, and its airspeed stabilised at 230kt. But shortly after that the engine power increased to maximum, and the aircraft pitched about 4deg nose up.

It is at this point that somatogravic illusion appears to have kicked in powerfully with the pilots. They had no external visual horizon because the aircraft was in cloud.

According to the NTSB, almost immediately the aircraft began a dramatic pitch down to -49deg, driven by elevator deflection. The airspeed ultimately increased to 430kt, and although the pitch-down angle was eventually reduced to -20deg, impact was inevitable.

The factor the NTSB is examining now is what triggered the sudden – apparently unwarranted – massive power increase. The cockpit voice recorder has captured a sound that may indicate the activation of the go-around button on the power levers. But neither of the pilots mentioned a need for go-around power.

About ten seconds after the power increase, caution alarms began to sound. The inquiry says the control column remained forward for ten seconds. According to FlightGlobal.com: “The aircraft transitioned from a shallow climb to a steep descent. Five seconds after the alarm commenced, one of the pilots exclaimed, ‘Whoa’, and shortly afterwards, in an elevated voice: ‘Where’s my speed, my speed’. Three seconds later, a voice loudly declares: ‘We’re stalling.’”

The flight data recorder gives the lie to the pilot’s stalling perception, because the angle of attack at that moment was safely below the stalling level.

During these remarks the thrust levers were brought to idle for about 2s, then were advanced again to their high power setting. During the transition from nose slightly up to nose steeply down, there were negative g-forces for nearly 11s.

Puzzling unknowns still lurk: like why a pilot exclaimed “where’s my speed?” when the indicated airspeed was rapidly increasing. Was it a fault of instrumentation, or of pilot instrument scan or perception at a moment of confusion?

The simple fact is that, every time a big engine-power increase takes place in flight, forward acceleration combined with a pitch-up moment caused by the underslung engines, is inevitable.

Just as inevitable – if this happens at night or in cloud – is somatogravic illusion in the pilots. “For this reason,” says the NTSB, “it is important that pilots develop an effective instrument scan.”

Develop? It’s a bit too late to develop a scan!

Recognising that acceleration brings with it the risk of disorientation, pilot conditioning should be to ignore all other sensory inputs except the visual, and with no external horizon that means concentrating totally on flight instruments, believing them, and controlling aircraft attitude and power accordingly.

Recurrent training must keep pilots alive to this risk, and to its remedy, but it clearly does not do this at present. Not for Asian, African nor for American pilots.

LOC-I has, since the late 1990s, been the biggest killer accident category for airlines. LOC-I linked to somatogravic illusion has frequently occurred, two of the most dramatic recent examples being the March 2016 FlyDubai Boeing 737-800 crash at Rostov-on-Don, and the August 2000 Gulf Air Airbus A320 crash at Bahrain International airport. Both occurred at night; both involved a go-around.

The FlyDubai pilot reaction to somatogravic illusion was a dramatic push-forward into a steep dive, like Atlas Air, and the aircraft smashed steeply into the runway.

The Gulf Air manoeuvre was an abandoned night visual approach from which the captain elected to climb and turn into a 3,000ft downwind leg to make a second approach. In the latter case, the changes in attitude and power were less dramatic, but as the captain advanced the power and began the climbing turn to the left over the night sea, he would have lost the airfield and town lights and should have transitioned fully to flight instruments. He didn’t. The aircraft described a shallow spiral into the dark water.

Somatogravic illusion makes instrument flying essential, but more difficult because of the need to reject the balance organs’ misleading input. A clear natural horizon in daylight completely overcomes those misleading feelings, and although the flight instrument panel – especially in modern flight-decks – provides an intuitive visual display, it is artificial and still not as compelling as the real thing.

But there is a long list of LOC-I accidents in the last two decades that involved more subtle sensory inputs resulting in pilot disorientation, and everybody died just the same.

Think of the old expressions associated with instrument flying skills.

First, there is its antithesis: “Flying by the seat of your pants.” Anybody who believes that is possible in IMC or on a moonless night is fated to die.

Then there is the original name for the skill: “Blind flying”; that was in the days before the artificial horizon was invented, when the airspeed indicator, altimeter and turn-and-slip indicator sufficed for accurate flying, possibly assisted by a vertical speed indicator.

Further clues as to the fascination – even mystery – surrounding early blind flying skills are the descriptions of what it feels like when things are going wrong: “The Leans” described the situation in which your perception of what the aircraft is doing is not what the instruments tell you. Finally there is the extreme example of “The Leans”: Americans used to call it “vertigo”, Europeans “disorientation”. That is when your senses are screaming at you that the situation is not what your flight instruments say – you don’t even know which way up you are.

Nothing has changed just because aircraft now have LCD displays.

It is time to go back to basics, to re-discover pride in precision manual instrument flying, and regain that skill which no pilot truly believes s/he has lost, but which automated flying has stolen away silently, like a thief in the night.

PS: Good blind flying is not a stick-and-rudder skill, it’s a cognitive skill.

 

 

 

 

 

Flydubai accident update from MAK

Russian accident investigator MAK has released preliminary information from the flight data recorder suggesting that there was no mechanical or aircraft systems fault in the Flydubai Boeing 737-800 at the time it appeared to go out of control and crash on final approach to Rostov on Don (see details in blog entry for 20 March).

Also since the previous blog story was written, video imagery has been released indicating that the final trajectory of the aircraft to impact was a nose-down high speed dive, which matches closely the flight profile of a Tatarstan Airlines 737-500 before it crashed on approach to Kazan, Russia in November 2013 (see also 20 March story for details).

If the MAK confirms these details in a fuller release soon it will highlight a need for the industry to train crews better for all-engines go-around manoeuvres because of the potentially dangerous combination – especially at night or in IMC – of the strong pitch-up moment caused by go-around power from underslung engines, plus “somatogravic illusion” in the pilots. Somatogravic illusion is the feeling induced by rapid forward acceleration that the nose has pitched up when it has not.

Another factor in this lack of crew familiarity with all-engines-go-around risks is believed to be that the go-arounds most practiced during recurrent training involve an engine-out abandoned approach, in which the power, pitch-up moment, climb rate and airspeed acceleration are all much more gentle.

The Flight Safety Foundation has been alerting airlines to this risk for many years now, and some airlines have modified their recurrent training accordingly.

Pilot groups in Dubai are also alleging that crew fatigue may have played a part in this accident. If this is true, it will emerge in the MAK final report.